Depression manifests itself differently from person to person and can have many different causes. Treatment must therefore be tailored to each individual. Some people have a few clearly defined problems, while others may have many different difficulties. To provide appropriate treatment, it is important to assess the problems you are seeking help for. The assessment involves conversations and the use of various assessment tools. Your thoughts and opinions about which measures are best for you should carry considerable weight. Your clinician should listen to what you have to say, and your views should be taken seriously.
The following are important in the assessment:
- Past and current mental health disorders and physical illnesses
- Risk of suicide
- Use of intoxicating substances
- Childhood and upbringing
- Mental health disorders in the family
- Past and current adverse events
- Problems in your personal life and at work
- Personal resources and the possibility of support from others
- Whether you have children and whether they currently have special needs that should be addressed
It is important to establish when the depression began and what you think may have contributed to triggering the problems. It is also important to find out whether you have experienced episodes of depression before. What you learned from these episodes, such as what helped at the time, may be useful in addressing your current problems. Since depression can be part of bipolar disorder, this should also be assessed.
It is recommended that your clinician use questionnaires as a tool to assess the severity of your depression and monitor your treatment. As a patient, you may benefit from your clinician giving you feedback on the questionnaires, including to help you see whether the treatment is working.
Based on the assessment, your clinician should be able to make a diagnosis based on the number and severity of your depressive symptoms and the extent to which they make it difficult for you to function in everyday life. You and your clinician will then draw up a plan together, and you will receive clear information about different forms of treatment. If you wish, you are entitled to an individual plan to coordinate the services provided.
See separate information about individual plans (helsenorge.no)

